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General NPI Number Information
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NPI Number | 1194879361
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Entity Type | Individual
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Provider Name | JOSEPH MARTIN ECHOLS JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1414 MARKS CHURCH RD
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City | AUGUSTA
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State | GA
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Zip | 30909-2430
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Country | US
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Telephone | 706-738-8919
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Fax | 706-592-5934
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Provider Business Mailing Address
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Address Line | 11 BRISTLECONE WAY
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City | AUGUSTA
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State | GA
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Zip | 30909-4536
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Country | US
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Telephone | 706-736-6254
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Fax | 706-592-5934
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9154
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License Number State | GA
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